Individual
CAROL M MANGINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T., DPT
Contact information
Practice address
538 LIPPINCOTT DR BLDG E, MARLTON, NJ 08053-4806
(856) 489-0505
(856) 489-0435
Mailing address
538 LIPPINCOTT DR BLDG E, MARLTON, NJ 08053-4806
(856) 489-0505
(856) 489-0435
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QA00216500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA00216500
LICENSE
NJ
Enumeration date
08/27/2018
Last updated
08/27/2018
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